因心内膜炎相关严重二尖瓣和三尖瓣反流继发的急性肝衰竭伴极高胆红素血症：对外科医生而言是挑战也是机遇。
Acute liver failure with extreme hyperbilirubinemia secondary to endocarditis-related severe mitral and tricuspid regurgitation: a challenge and an opportunity for surgeons.
作者信息
Lin Peter M F, Chow Simon C Y, Ng Sally W Y, Ho Anthony M H, Wan Song
机构信息
Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.
Department of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.
出版信息
J Thorac Dis. 2018 Feb;10(2):1067-1071. doi: 10.21037/jtd.2018.01.138.
Abstract
Hyperbilirubinemia is a known risk factor in patients undergoing open heart operations. Infective endocarditis often leads to valvular injury, such as rupture of chordae tendineae or leaflet perforation, which can cause acute heart failure in association with pulmonary hypertension and liver dysfunction. Here we present a patient with massive liver congestion, reflected by extreme hyperbilirubinemia, secondary to acute heart failure following mitral valve endocarditis that was successfully treated by emergency mitral and tricuspid valve repair.
摘要
高胆红素血症是接受心脏直视手术患者的已知风险因素。感染性心内膜炎常导致瓣膜损伤，如腱索断裂或瓣叶穿孔，可导致与肺动脉高压和肝功能障碍相关的急性心力衰竭。在此，我们报告一名患者，继发于二尖瓣心内膜炎后的急性心力衰竭导致严重肝淤血，表现为极高的胆红素血症，该患者通过急诊二尖瓣和三尖瓣修复术成功治疗。
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